Active NPI
Brent Matthew Hintz, MD
- Obstetrics & Gynecology Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 23079
- Practice address
- 212 West Dale St.
Suite 402
Waterloo, IA 50703 - Phone
- (319) 235-3865
- Fax
- (319) 235-3873
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 23079 | IA | Primary |
Addresses
Primary practice location
212 West Dale St.
Suite 402
Waterloo, IA 50703
Mailing address
212 W Dale St
Suite 402
Waterloo, IA 50703-1951
Phone (319) 290-9336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046805 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23079 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Allen Memorial Hospital Corporation | Obstetrics & Gynecology | Past | Accepting new patients |
| Allen Memorial Hospital Corporation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
146 W Dale St
Ste 203
Waterloo, IA 50703
Phone (319) 235-3865
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
146 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 235-5050
212 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 226-2345
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Obstetrics & Gynecology
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
Obstetrics & Gynecology
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1558477745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W DALE ST",
"address_2": "SUITE 402",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031951",
"telephone_number": "319-290-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WEST DALE ST.",
"address_2": "SUITE 402",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50703",
"telephone_number": "319-235-3865",
"fax_number": "319-235-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTZ",
"first_name": "BRENT",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "23079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046805",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.